State Licensed Clinical Documentation Specialist

To support the accuracy and completeness of patient records, the full-time Remote State Licensed Clinical Documentation Specialist will perform clinical documentation improvement activities, collaborate with healthcare providers, and ensure compliance with regulatory standards. Key responsibilities Analyze inpatient clinical records to identify opportunities for improving documentation accuracy and ensure assigned codes reflect patient severity Provide education and training to healthcare providers on documentation improvement and lead physician education initiatives Utilize CDI software to track activities, report impact metrics, and ensure compliance with updated coding and documentation standards Required qualifications Associate Degree in Nursing or a comparable clinical field required 3-5 years of acute care hospital nursing experience required 3-5 years of experience in clinical documentation improvement or health information management preferred Registered Nurse state licensure or comparable clinical license required Familiarity with regulatory standards and quality metrics related to clinical documentation preferred